Organization Active NPI

Vasweb, PA

  • Urology Physician
  • Lutz, FL
National Provider Identifier
1295584944
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VASWEB, PA
Practice address
288 Crystal Grove Blvd
Lutz, FL 33548-6460
Phone
(813) 536-1429
Fax
(813) 536-1432
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather M Freidin
Title
Office Manager
Phone
(813) 536-1429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

288 Crystal Grove Blvd
Lutz, FL 33548-6460

Mailing address

288 Crystal Grove Blvd
Lutz, FL 33548-6460
Phone (813) 536-1429

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0869498Vasweb, PA288 Crystal Grove Blvd, Lutz, FL 33548ComplianceApr 20, 2026

National Provider Directory

National Provider Directory

Locations

288 Crystal Grove Blvd
Lutz, FL 33548
Phone (813) 527-9638

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1295584944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "813-536-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "813-536-1429",
            "fax_number": "813-536-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASWEB, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "FREIDIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-536-1429"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.